WTC visual survey form, 2 White Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form ;/ 67, fl Prem:~ Addre i3lock: )q 1 Resu ential Commercial p Name of Building: Lot: Mix UseD otherD # of Stories: AKA's: Building Owner/Management: Telephone Number ) Name: FAX: Address: On Site Contact Name: ' ' Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑Yes ❑ No Locations: Air Monitoring ❑Yes❑ No Locations: Copies of All Reports and Data Requested Yes Visual Inspection Results: Facade: N Inspected Debris North ❑ N/A ❑YesQNo 0 No Visible/Fine Layer 0%to10 []>1w South ❑ N/A [3 YesQNo No Visible/Fine Layer ❑ 34 to 10 D>1 East ❑ N/A ❑ Yes [3 No No Visible/Fine Layer West ❑ N/A ❑ YesQNo 0 No Visible/Fine Layer Q 36to 1• w ❑ 1ww a> Facade Description: n n

Roof Debris: Visible /Fine Layer .0 34 to? fl ' 1' Description:

Setbacks N/A Floor: Debris:[] No Nisble/Fine Layer ❑ 4 to? ❑ > 1' Floor____ Debris: ❑ No Visible/Fine Layer 0 % to V [3>? Floor: Debris: 0 No Visible/Fine Layer ❑ % to V ❑ > 1' Floor____ Debris: 0 No Visible/Fine Layer ❑ 4 to? ❑ > 1' Floor____ Debris: 0 No Visible/Fine Layer a 4 to? Comments n.

Date: c/ t Th/2002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC-000110087